Skip to main content

Starting at 12:01 a.m. PT Sunday, some AAO.org products and services may be unavailable as we make website improvements. We expect to complete the work by late Sunday evening.

  •   

    Is it an Iris Freckle, Nevus or Melanoma?

    1-Minute Video
    01:22
    Anterior Chamber , Comprehensive Ophthalmology, Ocular Pathology/Oncology

    In this 1-Minute Video, Dr. Carol Shields offers tips on differentiating iris melanoma from a freckle or nevus. She notes that freckles tend to be flat, whereas nevi tend to involve the stroma and cause corectopia. Melanoma, on the other hand, are often 2 or more clock hours and often presents with seeding on the stroma or into the angle. Risk factors for melanoma include age under 40 years, blood in the anterior chamber, clock hour inferior, diffuse configuration, ectropion and feathery margin (ABCDEF guide). 

    Don't miss other 1-Minute Videos from Dr. Shields:
    Squamous Neoplasia: Surgery vs. Topical Chemotherapy
    Choroidal Nevus: When to Suspect Melanoma
    Conjunctival Pigmented Lesions: Planning Your Approach

    Relevant Financial Disclosures: None